| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | — | — | $0 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | — | — | $0 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN LIFE INSURANCE COMPANY | $20K | — | $20K | 15.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | $4K | $175 | $4K | 5.21% |
| DONNA LOUISE JACKOVITZ3 Filed as: DONNA JACKOVITZ | PO BOX 64 5471 LOWER MACUNGIE RD EAST TEXAS, PA 18046 | AFLAC | $2K | $218 | $2K | 10.78% |
| DENTON QUICK3 | 2202 WELLINGTON BLVD WYOMISSING, PA 19610 | AFLAC | $363 | $43 | $406 | 1.95% |
| KL GOOD BENEFITS LLC3 | 230 DANIELLE CT YORK, PA 17404 | AFLAC | $231 | — | $231 | 1.11% |
| WENDY M BOONE3 Filed as: WENDY BOONE | 1901 SEIPSTOWN RD FOGELSVILLE, PA 18051 | AFLAC | $216 | — | $216 | 1.04% |
| JACQUELINE EBERZ3 | 98 LAMP POST RD NEW BRITAIN, PA 18901 | AFLAC | $168 | $43 | $211 | 1.01% |
| JOSEPH B MCGINTY JR3 Filed as: JOSEPH MCGINTY JR | 1150 GLENLIVET DR STE A13 ALLENTOWN, PA 18106 | AFLAC | $146 | — | $146 | 0.70% |
| JAMES BROOKS3 | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $54 | — | $54 | 0.26% |
| DELMAS R BUTLER JR3 Filed as: DELMAS BUTLER JR | 46 S TULPEHOCKEN ST PINE GROVE, PA 17963 | AFLAC | $43 | — | $43 | 0.21% |
| DIANNE L MARTIN3 Filed as: DIANNE MARTIN | 125 MANOR ST HARRISBURG, PA 17110 | AFLAC | $37 | — | $37 | 0.18% |
| KEVIN W KREPINEVICH3 Filed as: KEVIN KREPINEVICH | 3440 LEHIGH ST PMB 102 ALLENTOWN, PA 18103 | AFLAC | $32 | — | $32 | 0.15% |
| JASON E FERGER3 Filed as: JASON FERGER | 3708 EAGLEWOOD STREET VARICO, FL 33596 | AFLAC | $23 | — | $23 | 0.11% |
| LYNNE M HARTMAN3 Filed as: LYNNE HARTMAN | 1841 LINCOLN AVE WYOMISSING, PA 19610 | AFLAC | $21 | — | $21 | 0.10% |
| CHRISTOPHER A LUPP3 Filed as: CHRISTOPHER LUPP | 940 E PARK DR STE 301 HARRISBURG, PA 17111 | AFLAC | $14 | — | $14 | 0.07% |
| DARREN RIDDLE3 | 7850 AVONDALE TER HARRISBURG, PA 17112 | AFLAC | $13 | — | $13 | 0.06% |
| MARK L HUFHAND3 Filed as: MARK HUFHAND | 3313 LEE ST NW NORTH CANTON, OH 44720 | AFLAC | $12 | — | $12 | 0.06% |
| ANTHONY ALMODOVAR3 | 3605 VARTAN WAY STE 304 HARRISBURG, PA 17110 | AFLAC | $12 | — | $12 | 0.06% |
| JOAN LACARIA3 | 102 JENNIFER LN BRIDGEPORT, WV 26330 | AFLAC | $11 | — | $11 | 0.05% |
| MATTHEW G BERGER3 Filed as: MATTHEW BERGER | 22 SUNNYRIDGE RD PHILADELPHIA, PA 19125 | AFLAC | $11 | — | $11 | 0.05% |
| MOLLIE PRICE3 | 758 CEMETERY ROAD MUNCY, PA 17756 | AFLAC | $10 | — | $10 | 0.05% |
| DAVID C SWEIGARD3 Filed as: DAVID SWEIGARD | 2603 PELLICER RD SAINT AUGUSTINE, FL 32092 | AFLAC | $8 | — | $8 | 0.04% |
| CYNTHIA JAY3 | 3768 SE DOUBLETON DR STUART, FL 34997 | AFLAC | $8 | — | $8 | 0.04% |
| RANDALL SIMS3 | 138 DERR DR COLLEGEVILLE, PA 19426 | AFLAC | $7 | — | $7 | 0.03% |
| MAUREEN SUSAN FRIEDMAN3 Filed as: MAUREEN FRIEDMAN | 8163 LARK ST FOGELSVILLLE, PA 18051 | AFLAC | $7 | — | $7 | 0.03% |
| DAVID W RANCK3 Filed as: DAVID RANCK | 848 E MAIN ST STE 800 EPHRATA, PA 17522 | AFLAC | $5 | — | $5 | 0.02% |
| DANIEL R JUDY3 Filed as: DANIEL JUDY | 231 WALTERS MILL RD SOMERSET, PA 15501 | AFLAC | $5 | — | $5 | 0.02% |
| ROBERT A ANDERSON3 Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY CT FREDERICKSBURG, VA 22407 | AFLAC | $5 | — | $5 | 0.02% |
| STEPHEN D BISSELL3 Filed as: STEPHEN BISSEL | 5465 AMANDA DR LAURYS STATION, PA 18059 | AFLAC | $3 | — | $3 | 0.01% |
| IRENE E BROOKS3 Filed as: IRENE BROOKS | 101 COPPER BEECH LN WOMELSDORF, PA 19567 | AFLAC | $2 | — | $2 | 0.01% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $2 | — | $2 | 0.01% |
| RYAN GOLDBERG3 | 103 CHURCH ST #3 PHILADELPHIA, PA 19106 | AFLAC | $2 | — | $2 | 0.01% |
| MARTIN E BYSTROM3 Filed as: MARTIN BYSTROM | 253 MINORCA BEACH WAY APT 305 NEW SMYRNA BEACH, FL 32169 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH RYNCAVAGE3 | 140 MAIN ST KINGSTON, PA 18704 | AFLAC | $2 | — | $2 | 0.01% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $1 | — | $1 | 0.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| AMERICAN INSURANCE ADMINISTRATORS3 | 4550 LENA DRIVE MECHANICSBURG, PA 17055 | CAPITAL ADVANTAGE ASSURANCE COMPANY | — | — | $0 | 0.00% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 231 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA LIFE & HEALTH INSURANCE COMPANY | 228 | $83K |
| Vision | CAPITAL ADVANTAGE ASSURANCE COMPANY | 143 | $8K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 231 | $9K |
| Long-term disability | THE LINCOLN LIFE INSURANCE COMPANY | 127 | $135K |
| Prescription drug | CAPITAL ADVANTAGE ASSURANCE COMPANY | 202 | $261K |
| Other | AFLAC | 30 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 231 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.